Nokea
Which of the following are examples of incidental disclosures of patient health information that are permitted? Select all that apply.
- A. A nurse working in a physicians office puts out a sign-in sheet for incoming patients.
- B. Two nurses are overheard talking about a patient through the door of an empty patient room.
- C. A nurse places a patient chart in a holder on the examining room door with the name facing out.
- D. A nurse leaves an x-ray on a light board in the hallway that leads to the examining rooms.
- E. A nurse calls out the name of a patient who is seated in the waiting room.
- F. A nurse leaves a reminder for an appointment on a patients answering machine along with the results of lab work.
Correct Answer: A,B,E
Rationale: Incidental disclosures like sign-in sheets, overheard conversations in clinical settings, and calling names in waiting rooms are permitted if reasonable safeguards are in place.
You may also like to solve these questions
What is the nurses best defense if a patient alleges nursing negligence?
- A. testimony of other nurses
- B. testimony of expert witnesses
- C. patients record
- D. patients family
Correct Answer: C
Rationale: The patient's record is the most objective and reliable evidence of the care provided, serving as the nurse's best defense against allegations of negligence.
In which of the following cases should a progress note be written? Select all that apply.
- A. for any nursepatient interaction
- B. when admitting a patient
- C. when receiving a patient postoperatively
- D. when assisting a patient with ADLs
- E. when a procedure is performed
- F. when a patient sends back an untouched dinner tray
Correct Answer: B,C,E
Rationale: Progress notes are required for significant events such as admissions, postoperative care, and procedures, as they reflect critical changes in the patient's condition or care.
A student has reviewed a patients chart before beginning assigned care. Which of the following actions violates patient confidentiality?
- A. writing the patients name on the student care plan
- B. providing the instructor with plans for care
- C. discussing the medications with a unit nurse
- D. providing information to the physician about laboratory data
Correct Answer: A
Rationale: Including the patient's name on a student care plan can expose confidential information if not properly secured, violating confidentiality.
Which of the following methods of documenting patient data is least likely to hold up in court if a case of negligence is brought against a nurse?
- A. problem-oriented medical record
- B. charting by exception
- C. PIE charting system
- D. focus charting
Correct Answer: B
Rationale: Charting by exception only documents deviations from the norm, which may omit critical details, making it less defensible in court.
A physicians order reads up ad lib. What does this mean in terms of patient activity?
- A. may walk twice a day
- B. may be up as desired
- C. may only go to the bathroom
- D. must remain on bed rest
Correct Answer: B
Rationale: Up ad lib' means the patient may be up and active as desired, without restrictions.